Can ambient AI or human scribes make emergency physicians more productive? Both reduced documentation time, but neither meaningfully increased overall clinical productivity. While ambient AI and human scribes may help ease documentation burden, the biggest benefit may be reducing clerical and cognitive load rather than increasing throughput. Read more in Annals of Emergency Medicine. #EmergencyMedicine #MedTwitter #FOAMed #HealthTech #MedicalAI #AmbientAI #AI #PhysicianWellness #ClinicianBurnout #EmergencyDepartment @ascetrix @EMRES_MGHBWH @ettesild @melissaameeker

Communities with higher Social Vulnerability Index scores have the most to lose from delayed stroke care, and are the most likely to arrive without EMS recognition. Stroke systems of care must address implicit and systemic bias to ensure equitable prehospital stroke identification. This editorial explores how social vulnerability may influence prehospital recognition of stroke and other neurologic emergencies, highlighting important opportunities to improve equity in emergency care. Read more at annemergmed.com #EmergencyMedicine #EM #Neuro #Stroke #EMS #HealthEquity #FOAMed #AnnalsOfEM #Medtwitter @ReginaRoyan @uofm_ems

🎙️ The May episode of the Annals of Emergency Medicine podcast is here! Join Rory Spiegel and Ryan Radecki as they break down the latest research, controversies, and practice-changing developments in emergency medicine. Whether you’re catching up on recent literature or looking for expert perspectives on what’s new in EM, this episode has you covered. Listen below or wherever you get your podcasts. podcasts.apple.com/us/podcas… #EM #EmergencyMedicine #ERDoc #ED #MedSchool #Medstudent #Residency #Fellowship #NursingSchool #Nursing #PA #PASchool #NP #NPSchool #EMS #EMT #Paramedic #MedicalEducation #MedED #FOAM #FOAMed #MedPodcasts #Medtwitter

Does a central PE automatically mean a higher-risk patient? In this multicenter Annals of Emergency Medicine study of more than 1,700 ED patients with acute PE, central thrombus location was associated with advanced intervention use but not with in-hospital death, clinical deterioration, or 30-day mortality. The findings suggest that RV dysfunction, tachycardia, and biomarker elevation may provide more clinically relevant information when assessing short-term risk. Paper: Associations of the Composite Pulmonary Embolism Shock Score in the Emergency Department With Short-Term Clinical Outcomes Weekes AJ, et al. Ann Emerg Med. 2026.

How should we approach the medical screening of psychiatric patients in the ED? A new Annals scoping review examined decades of literature on medical screening practices for adults presenting with psychiatric complaints and highlights where evidence exists, where it doesn’t, and opportunities for future research. Are we asking the right questions, ordering the right tests, and using our resources effectively? Read more at annemergmed.com #EmergencyMedicine #EM #Psychiatry #Psych #MentalHealth #MedEd #FOAMed #PsychEM #BehavioralHealth

🚁 Air ambulances are a critical part of emergency care, helping transport patients with severe trauma, stroke, and other time-sensitive conditions. While air medical safety has improved significantly over the last decade, several high-profile crashes in 2025 have reignited discussions about training, equipment standards, regulation, and how we can make these missions even safer for patients and crews. This Annals News & Perspective article explores where the field stands today and what changes may lie ahead. #EMS #EmergencyMedicine #AirSafety Read more at annemergmed.com

A nurse-led, low-cost school CPR program can scale fast—and spread further than the classroom. Children trained on DIY recycled manikins then taught CPR at home, multiplying reach (~2.4 people per child). Key BLS steps were solid on video; AED actions need strengthening. As always check it out at Read more at annemergmed.com #MedED #EmergencyMedicine #CPR #BLS

Could IV magnesium help change acute headache management in the ED? ⚡️🧠 A new study in Annals of Emergency Medicine found IV magnesium acetaminophen improved treatment success, reduced rescue meds, and increased patient satisfaction in acute non-traumatic headaches. 💉 ⚠️ Mild adverse effects were slightly more common, and pain score differences may not have been clinically significant. As always, read the full paper before changing practice. Social media summaries are never a substitute for critical appraisal. 📖 Link in bio / full article on Annals #EmergencyMedicine #EM #FOAMed #MedEd #MedicalEducation #Migraines #Neuro

Does residency structure matter for ABEM performance? This program-level analysis found: • No significant difference in median board pass rates between 3- and 4-year EM programs • Earlier-accredited programs had higher median scores • Privately sponsored programs showed lower median board scores compared to other ownership models Read more at annemergmed.com #EmergencyMedicine #EM #ER #Residency #ABEM #Boards

What we carry on shift is rarely just what fits in our pockets. This piece captures the humor, exhaustion, improvisation, and invisible weight of emergency medicine in a way that will feel deeply familiar to anyone who’s worked in healthcare. One of those essays that quietly stays with you. #EmergencyMedicine #EMDocs #WomenInMedicine #MedEd #HealthcareWorkers #ResidencyLife #MedicalHumanities #GraphicMedicine #MedicineAndHumanity #AnnalsOfEM

Read about this case and more 👇🏾 annemergmed.com/article/S019… 🔗The Annals of Emergency Medicine: annemergmed.com

This study suggests that extracorporeal cardiopulmonary resuscitation (ECPR) may be associated with improved outcomes in selected children with out-of-hospital cardiac arrest. Because the number of children who received ECPR was small, these findings should be interpreted as hypothesis-generating and support further prospective—and ideally randomized—evaluation of pediatric ECPR. Check it out! Link in Bio #EmergencyMedicine #EM #Pediatrics #PEM #Peds #CriticalCare #CritCare #EMS #MedED #FOAM #FOAMed #EBM

This month’s Annals Resident Collection features steroids in sepsis, smarter CT use in pediatric blunt trauma, and the real risk of deterioration in ED boarders. This is practical evidence to sharpen your clinical judgment where it matters most! Read more at annemergmed.com/annals-resid… #EmergencyMedicine #EM #Resident #Residency #MedEd #MedicalEducation #FOAM #FOAMed #EvidencedBasedMedicine #ScientificJournals #MedTwitter

Watchful waiting: The Power of Patience: High-Impact Insights on Pediatric Abdominal Trauma Observation 🩺🛡️ Can a little extra time in the ED save a child from unnecessary radiation? ⏱️ This massive study of 7,442 children proves that observation is a game-changer for blunt abdominal trauma, but it’s important to understand the full picture,. 💪🏾Why this study is a heavyweight (Strengths): -Massive Scale: This was a rigorous prospective multicenter cohort study involving children across six level-1 trauma centers,. -Precision Modeling: Researchers used multivariable logistic regression to adjust for critical factors like age, clinician suspicion, and PECARN risk variables,. -Proven Safety: The study successfully showed reduced CT use—especially in intermediate-risk cases—without an increase in missed injuries,. -Standardized Training: Enrolling clinicians underwent standardized training to ensure consistent documentation of clinical findings. ⚠️ Know the fine print (Limitations): -Setting Matters: The study was conducted in pediatric-specific EDs, so the results might differ in general community hospitals with less pediatric trauma experience. -Unstructured Observation: There was no set protocol for the observation period; the duration, lab tests, and ultrasound use were left to clinician discretion. -Older Kids Skew: The study population skewed toward older children, who are often easier to evaluate for abdominal pain and tenderness than younger ones. -Cost-Effectiveness: No specific cost-effectiveness analysis was conducted for abdominal trauma observation in this study. 🤓The Bottom Line: Choosing to observe rather than scan can safely lower CT utilization with a minimal median increase in ED stay of only 27 minutes. 🔗 Read the full paper here: annemergmed.com/article/S019… #PediatricTrauma #EmergencyMedicine #EvidenceBasedMedicine #ERDoctor #MedicalResearch 📚Reference: Ishimine P, et al. Emergency Department Observation and Computed Tomography Use in Children With Blunt Abdominal Trauma. Annals of Emergency Medicine. 2026

Migraine in the ED: NSAIDs fluids… but do the fluids actually matter? 💧 This study might make you rethink that reflexive fluids order. Read more annemergmed.com #EmergencyMedicine #EMDocs #EM #Neurology #Neuro #Migraine #Headache #EMPharm #Pharm #Pharmacology #FOAMed #MedED #MedicalEducation #EvidencedBasedMedicine #Medtwitter

🚨 The overdose you think you’re treating… may not be what it seems. As emergency and critical care clinicians, we’re trained to recognize opioid toxicity and respond rapidly. But a new adulterant — medetomidine — is changing that clinical picture. Patients may initially respond to naloxone… yet remain profoundly sedated. Hours later, they can develop rapid, severe withdrawal with agitation, hypertension, and delirium — often refractory to standard therapies. This is not just a variation of opioid toxicity. It’s a distinct and evolving clinical syndrome that demands awareness at the bedside. 🎧 In this reel, I discuss key insights from a recent review in Annals of Emergency Medicine and share perspectives from one of the authors. 👇🏾For the full review, see: Lynch MJ, Pizon AF, Yealy DM. Emergence of Medetomidine in the Illicit Drug Supply: Implications for Emergency Care and Withdrawal Management. 📖 Annals of Emergency Medicine (2025) 🔗 annemergmed.com #EmergencyMedicine #MedicalEducation #Toxicology #FOAMed #CriticalCare

Managing Cannabinoid Hyperemesis Syndrome by Rech, Shalaby, Gage, and Gottlieb in Annals of Emergency Medicine reviews how to recognize CHS in the ED, when to broaden the differential, and which treatments current guidelines support. One of the key takeaways: CHS has no definitive test, droperidol or haloperidol are recommended first-line in current guidelines cited by the authors, and long-term symptom control still centers on cannabis cessation. #EmergencyMedicine #medical #FOAMed #MedEd #cannabinoidhyperemesissyndrome #EM